Aims: To provide a conceptual update on change fatigue in nursing as it relates to rapid and continuous change implementation. This doctoral dissertation examined nurses' experiences of rapid and continuous organizational change, with a core component of the study examining the concept of change fatigue.
Background: Change fatigue is understood as the overwhelming feelings of stress, exhaustion and burnout fuelled by feelings of ambivalence and powerlessness associated with rapid and continuous change in the workplace. Change fatigue may cause workers to become withdrawn and greatly influences their decision to leave the workplace and even their profession. Little research to date has explored change fatigue in nurses.
Methods: Were qualitative in nature.
Design: A critical hermeneutic approach was used. Face-to-face interviews were conducted with 14 Registered Nurses. Open-ended questions were used. Theoretical thematic analysis and inductive analysis of data were completed using Brown and Gilligan's voice-centred relational method. The study spanned from 2015 - 2018.
Results: Nurses did experience many of the core elements of change fatigue noted in the non-nursing literature, including exhaustion, apathy, powerlessness, and burnout. Two additional themes emerged pertaining to nurses' understandings of why they were experiencing change fatigue. These themes included the intensification of nursing work and repeated and ongoing self-sacrifice.
Conclusion: Participants offered important insight into an emergent concept in the discipline of nursing.
Impact: The negative experiences associated with change fatigue are important for administrators and other stakeholders to recognize and acknowledge, as they must work to alleviate change fatigue in their institutions to preserve the well-being of the nursing workforce. This knowledge is also important to nursing scholars, who may further research the topic and embed it into nursing curricula.
目的: 提供有关护理中的改变疲劳的概念性更新，因为它涉及快速和连续的变化实施。该博士论文研究了护士在快速而连续的组织变革中的经历，其中的一个核心部分是研究改变疲劳的概念。 背景: 改变疲劳被理解为一种压倒性的压力感、疲惫感和倦怠感，与工作场所的快速和持续变化相关的矛盾感和无力感所推动。改变疲劳可能导致员工变得孤僻，并极大影响他们离开工作场所甚至职业的决定。迄今为止，很少有研究探索护士的改变疲劳。 方法: 本质上是定性的。 设计: 采用了批判性的诠释学方法。对14名注册护士进行了面对面的访谈。使用了开放式问题。使用布朗（Brown）和吉利根（Gilligan）的语音中心关系法完成了数据的理论主题分析和归纳分析。该研究的时间跨度为2015至2018年。 结果: 护士确实经历了非护理文献中提到的改变疲劳的许多核心要素，包括疲惫、冷漠、无力和倦怠。另外两个主题是关于护士对他们为什么经历改变疲劳的理解。这些主题包括加强护理工作和反复不断的自我牺牲。 结论: 参与者对护理学科中的一种新兴概念提供了重要见解。 影响: 与改变疲劳相关的负面经历对于管理者和其他利益相关者来说是非常重要的，因为他们必须努力减轻机构中的改变疲劳，以维护护理人员的福利。这些知识对护理学者也很重要，他们可能会进一步研究该主题并将其纳入护理课程中。.
Keywords: change fatigue; concept clarification; concept development; nurse work life; nursing; organizational change.
© 2020 John Wiley & Sons Ltd.